Latest Likes For BittyBabyGrower

BittyBabyGrower 11,123 Views

Joined Feb 9, '04 - from 'Somewhere in the midwest'.
BittyBabyGrower is a Nurse of course!.
He has '30+' year(s) of experience and specializes in 'NICU, PICU, educator'.
Posts: 1,838 (19% Liked)
Likes: 1,114

You can become a neonatal PA without working as an RN first, so why is it so scandalous to ask it you could become a neonatal NP without working first? PAs just have to do a one year residency in neonates where they are paid. Why shouldn't it be the same for NPs? Are nurses not as smart or something?

Really? You are such a troll. Lol Are you even a nurse because you just cut yourself down also. The only program I know of is in PA and only accepts 2 per year, and you have to have PA experience. You start in a level 2 for
the first half and then move to CHOP I believe for the rest. It's pretty intensive. I asked one of our attendings about it ( he is from there) and he said they take ones with ICU or peds experience only. And several of them were NICU nurses who went back to PA school, have their Masters and then applied for this. So it still isn't like you can just apply and do it. You are totally missing the point.

To become a neonatologist you have to do a 3 year fellowship, same for any speciality. It is on the same line. Do you think someone could walk in and be a neonatologist without ever working with this population? So I wouldn't say it is really too
much different.

I was a student in a diploma
program in early 80's.
--No gloves, it was considered degrading to your patient and would make them feel bad.
--Every patient got a bath and linen change every single day come hell or high water.
--We had a bottle of whiskey locked in the Med cabinet for the alcoholics so they wouldn't go thru DTs....the docs had to order it.
--We actually had orders that it was okay for our patients to go to the Solarium and smoke.
--Most patients were in the hospital for at least a week.
--We mixed our own meds in glass bottles.
--We practiced team
nursing. You would have 15 patients with an LPN and aide to help you. You did the assessment, the LPN did the vitals and we all helped with ADLs.
--Everyone did get their lunch, and the doctors had their own cafeteria and dining room.
--Our secretary would take off all
the orders and leave us little "treatment" and med cards hanging on the desk for us.
--We made coffee and toast on
the floor for the patients.
--In the evening we would do cares, help the patients wash up and give them a back rub before they went to bed. I can still smell the hospital lotion!
--You could smoke at the nurses desk, the conference room and
lunch room. Patients smoked while in bed.

Then I was a new nurse in the NICU from mid80's on. I'll just say, thank goodness for EBP!
--We suctioned all intubated kids every 2 hours whether they needed it or not. We also turned them every time.
--We used dopamine and donut amine like a vitamin.
--Every single admission got a full septic work up including an LP.
--We weighed every single kid every single night no matter what, even if they had 6 chest tubes, intubated and on vasopressors.
--We would hand bag kids for hours or days until an ECMO bed became available. We only had one hospital in our city with 4 beds, other wise they went out
of state by helicopter.
--All kids got a full bath before being put to bed after admission.
--we made all our own meds and drips.
--We rarely have pain medications...premie babies didn't feel pain.
--Along the same line, premies were only paralyzed for surgery, no anesthesia or pain meds.
--Comfort care wasn't offered, it was all or nothing.

1. Overheard at a new admitted baby's bedside: "Look, they have mini booze here!" Figured out they were talking about our blood culture bottles lol

2. A family asked to talk to the charge nurse, that being me.
"You need to assign one nurse to our baby, no other patients, so they can stand here with a hand on our baby at all times. We believe this is best for our baby." Yup, will jump right on that.

3. "Can you tell me when his balls will grow? Maybe he needs a special doctor to look at him, he doesn't have balls" This said about a 24 weeker. Let me sprinkle some special ball grower dust on there.

It's a hard place and a rock for
sure. I have reported one co-worker when I worked in PICU, kind of the same thing, I was a fill
in and every time I worked this person would always ask me to sign for a waste that I didn't witness, which I refused to do. She finally stopped asking me. Two other per diems noticed the same thing. I went to the manager and voiced my concern and they did drug test the person, low and behold it was positive for benzos. I did feel bad, but sometimes you have to do what you have to do.

1. Overheard at a new admitted baby's bedside: "Look, they have mini booze here!" Figured out they were talking about our blood culture bottles lol

2. A family asked to talk to the charge nurse, that being me.
"You need to assign one nurse to our baby, no other patients, so they can stand here with a hand on our baby at all times. We believe this is best for our baby." Yup, will jump right on that.

3. "Can you tell me when his balls will grow? Maybe he needs a special doctor to look at him, he doesn't have balls" This said about a 24 weeker. Let me sprinkle some special ball grower dust on there.

1. Overheard at a new admitted baby's bedside: "Look, they have mini booze here!" Figured out they were talking about our blood culture bottles lol

2. A family asked to talk to the charge nurse, that being me.
"You need to assign one nurse to our baby, no other patients, so they can stand here with a hand on our baby at all times. We believe this is best for our baby." Yup, will jump right on that.

3. "Can you tell me when his balls will grow? Maybe he needs a special doctor to look at him, he doesn't have balls" This said about a 24 weeker. Let me sprinkle some special ball grower dust on there.

1. Overheard at a new admitted baby's bedside: "Look, they have mini booze here!" Figured out they were talking about our blood culture bottles lol

2. A family asked to talk to the charge nurse, that being me.
"You need to assign one nurse to our baby, no other patients, so they can stand here with a hand on our baby at all times. We believe this is best for our baby." Yup, will jump right on that.

3. "Can you tell me when his balls will grow? Maybe he needs a special doctor to look at him, he doesn't have balls" This said about a 24 weeker. Let me sprinkle some special ball grower dust on there.

We have a bunch of horrible lay midwives that we encounter every now and again. All of our Level 3's in the area have been receipents of devastated kids from them. The thing that gets me is that the parents never ever feel that the "midwives" have done anything wrong! They circle the wagons and protect this group. I just don't get it.

Low risk home births with a certified midwife who is connected to a hospital or birthing center can be fine, but these crunchy crazy lay midwives are dangerous and in my opinion should be arrested when we get a bad kid from their incompetence.